Health Bill

Debate between Ben Coleman and Danny Beales

Report stage
Monday 7th September 2026 Commons Chamber

[Danny Beales]

There is much to support in the Bill, and I support its ambition to enable many of the provisions of the welcome 10-year plan for the NHS. The plan is the right one; the three shifts are correct, and we have to fundamentally reform the health system if we are to meet the modern health and care challenges that we all see in our constituencies. To some extent those challenges are not new, and neither are these ambitions—we have seen similar initiatives before—but the systems, the structures, the bureaucracy and the siloed budgets push against change in the health sector. They have been a hinderance, reinforcing silos and making the same investment choices. They have prevented digitalisation, kept care in acute settings and stopped joined-up working. This Bill could and should be a key lever in overcoming those challenges, which we need to do if we are to achieve those ambitions.

I very much support the digital single patient record, which is a key ambition in the shift from analogue to digital health. We have all heard from patients who have to tell their story over and over again at every single health appointment—between care and health, between community and secondary care—so a genuine single patient record has the potential to be transformational. We have, however, heard from pharmacies and community mental health services that if this is to work, they have to have a seat at the table. While this Bill enables the architecture, I hope that the delivery will ensure that the whole of the health and care system is part of the decision-making process when the single patient record is designed. That is crucial.

Turning to the abolition of NHS England, the idea of streamlining bureaucracy at the centre is a good one, and delivering power—including decision-making power—budgets and resources locally is also admirable. Success, however, will mean the right decisions being taken at the right scale.

[Ben Coleman (Chelsea and Fulham) (Lab)]

One of my concerns about the abolition of NHS England is that highly specialised services for treating the rarest and most complex conditions—of which there are only 79 in the country—currently sit directly with NHS England. It is not clear whether those services will continue to be commissioned centrally. Does my hon. Friend think it would be helpful if the Minister could clarify that?

[Danny Beales]

I thank my hon. Friend for that contribution. Having worked in neonatal care services and areas of specialised services in the NHS for 10 years, I understand that one of the benefits of NHS England was that it brought together highly specialised services, ensured consistent service specifications and uplifted the quality and availability of care across the country. I hope that when we make decisions about which specialised services will be devolved to ICBs, consideration will be given to that point. Equally, we have heard from national population health programmes such as the Diabetes Prevention Programme, which has been a huge success. As we make the final decisions about the level at which decisions are made, we cannot lose the benefits of public health initiatives at scale, such as vaccinations and prevention programmes. I would welcome the Minister’s thoughts and reflections on that.

Integrated working is also important—as I say, we have to blend budgets and bring together decision makers across current silo divides. In that spirit, I very much welcome the change made by Government amendment 60 to give local authorities a seat back at the table. We need a bigger voice for public health and social care in health decision making, not less, so I thank the Minister and the Government for listening to the Health and Social Care Committee and moving on that. In the view of the NHS Alliance, this is not enough; it would like to see a reciprocal duty to collaborate, which is an interesting suggestion. However, the Government’s amendment is an important start.

EU Membership Referendum: Impact on the UK

Debate between Ben Coleman and Danny Beales

Tuesday 24th February 2026 Westminster Hall

[Ben Coleman (Chelsea and Fulham) (Lab)]

It is a pleasure to serve under your chairship, Sir Desmond. Eighty years ago, just after the second world war, my great-uncle Zelia stood outside this Parliament building. He doffed his hat—everyone had a hat in those days—and he said, “She saved us all.” He was a Latvian Jew. He lived in Paris; I was always told he had fought with the French resistance. He certainly knew what Britain had meant to Europe. The whole of Europe knew that.

At that moment, Europe looked to Britain for a lead, but we pulled back. Even when we finally joined them, we developed the habit of blaming Brussels more than reminding people of the benefits. So when the 2016 referendum came, people answered on the basis of what they had been told and what they had not been told. Now, 10 years on, the cost is clear. Boris Johnson promised the NHS £19 billion a year. Instead, we have lost £90 billion a year, every year, in tax revenue.

[Danny Beales (Uxbridge and South Ruislip) (Lab)]

My predecessor, Boris Johnson, promised much that never seemed to materialise, locally as well as nationally. My hon. Friend is right in his assertion that we have seen significant economic impacts. Pharmaceutical companies in my constituency talk about double administration and double testing of the exports of drugs now, with the need to go through both the European and UK medicines agencies for approvals. They say that has directly harmed investment and jobs in the UK. Does my hon. Friend share my concern about that?

[Ben Coleman]

I do. I congratulate my hon. Friend again on replacing Boris Johnson with a much nicer man, who definitely has much better hair. I absolutely agree.

We have to recognise that the swiftest path to growth for this country lies in tackling the red tape that Brexit introduced. I think of a small butcher in my constituency of Chelsea and Fulham, who used to import most of his goods from Spain and Italy and now has shelves half bare because his small distributors just cannot cope with the paperwork.

We do not have that £90 billion in tax revenue any more, and that is money that we need badly for our NHS, police and schools after years of Conservative austerity. I am not dismissing the concerns that drove the leave vote, least of all the feeling of not being heard, but the response that the referendum conveyed has made all those problems worse. If we left to take back control, the evidence is that we simply have much less of it. No wonder that two thirds of the British people, including six out of 10 of those who voted to leave, now say that they want a closer relationship with the European Union, which my Government are pursuing.

The British people deserve better. This country, diminished though it is, but still undefeated, has never shrunk from doing what the moment requires. Let us seize this moment to repair the damage, welcome the reset, act with ambition, optimism and hope, and put Brexit right.